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Contact Information

PENNY A MEDICINEBEAR
224 SUNSET AVE
SMITHS GROVE, KY41217
 Phone: 270-784-7079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for PENNY A MEDICINEBEAR · (Female)

NPI Number 1215234778
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2011
Last updated 02/18/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 3585
  • KY License # 3586
  • KY Medicaid 3162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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